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Preserving the health of the working population is a priority direction of state policy. At present, the search for the most informative physiological, biochemical, immunological and other criteria for assessing the action of harmful factors is of great importance. The purpose of the study is to study the cytological structures in the cells of the mucous membranes when exposed to welding aerosols on the body of electric and gas welders. A diagnostic examination was carried out for electric and gas welders of the metallurgical plant of the Republic of Bashkortostan. Cytological laboratory parameters of cells of the mucous membranes of the oral cavity (buccal epithelium) and discharge from the nose (rhinocytogram) were analyzed under the influence of a harmful adverse production factor — welding aerosol (SA). The index of accumulation of cytogenetic disorders was used in the work — Index of accumulation of cytogenetic damage (Iac), which takes into account the indicators of cellular kinetics. The general hygienic assessment of the working conditions of electric and gas welders according to the criteria R 2.2.2006–05 corresponds to the harmful 3rd class of 2–3 degrees (3.1–3.2). The results of the study revealed cytogenetic disorders of buccal epithelium cells in 95,65 % of electric and gas welders. A low probability of cytogenetic disorders was found in 24,64 %, moderate — in 56,52 %, high — in 18,84 % of workers. When evaluating the rhinocytogram, an increase in the number of segmented neutrophils was found in 86,96 %, eosinophils in 39,13 %, reflecting nonspecific (microbial) and allergic inflammation. The data obtained made it possible to identify the important role of diagnostic procedures for identifying indicators of health disorders among the working population and the development of individual preventive measures.
Preserving the health of the working population is a priority direction of state policy. At present, the search for the most informative physiological, biochemical, immunological and other criteria for assessing the action of harmful factors is of great importance. The purpose of the study is to study the cytological structures in the cells of the mucous membranes when exposed to welding aerosols on the body of electric and gas welders. A diagnostic examination was carried out for electric and gas welders of the metallurgical plant of the Republic of Bashkortostan. Cytological laboratory parameters of cells of the mucous membranes of the oral cavity (buccal epithelium) and discharge from the nose (rhinocytogram) were analyzed under the influence of a harmful adverse production factor — welding aerosol (SA). The index of accumulation of cytogenetic disorders was used in the work — Index of accumulation of cytogenetic damage (Iac), which takes into account the indicators of cellular kinetics. The general hygienic assessment of the working conditions of electric and gas welders according to the criteria R 2.2.2006–05 corresponds to the harmful 3rd class of 2–3 degrees (3.1–3.2). The results of the study revealed cytogenetic disorders of buccal epithelium cells in 95,65 % of electric and gas welders. A low probability of cytogenetic disorders was found in 24,64 %, moderate — in 56,52 %, high — in 18,84 % of workers. When evaluating the rhinocytogram, an increase in the number of segmented neutrophils was found in 86,96 %, eosinophils in 39,13 %, reflecting nonspecific (microbial) and allergic inflammation. The data obtained made it possible to identify the important role of diagnostic procedures for identifying indicators of health disorders among the working population and the development of individual preventive measures.
Introduction: Intensification of economic activities in the northern regions of Russia requires a better understanding of the combined health effect of cold environment and occupational risk factors. Objective: To assess the risk of developing health disorders in gas and electric welders exposed to low and normal workplace temperatures. Materials and methods: We conducted a comparative analysis of working conditions and health status of welders at two enterprises. The main cohort included 310 workers exposed to welding fumes and cold microclimate in an underground mine. The control cohort included 282 employees of a railcar manufacturing facility performing their functional duties in workshops with acceptable microclimate parameters. Results: According to the results of periodic medical examinations, 499 chronic diseases were diagnosed in welders of the main cohort against 230 among the controls. Compared to the reference cohort, underground welders were at higher risk of developing diseases of the digestive system (RR = 2.63; CI: 1.47–4.70; p = 0.0006), genitourinary (RR = 6.55; CI: 1.51–28.4; p = 0.004), musculoskeletal (RR = 1.50; CI: 1.14–1.97; p = 0.003), and nervous systems (RR = 5.29; CI 1.19–23.4; p = 0.014), skin (RR = 3.85; CI: 1.61–9.18; p = 0.001), respiratory organs (RR = 3.23; CI: 1.84–5.69; p < 0.001), as well as infectious and parasitic diseases (RR = 8.61; CI: 2.03–36.5; p = 0.0004). Thus, the number of healthy workers was smaller while the number of workers suffering from two or more chronic diseases was bigger in this cohort (p < 0.001). Conclusions: The welders working in cold environment were significantly less healthy than those working in normal workplace temperatures. The results necessitate the development of additional measures of disease prevention for this category of employees.
Introduction: Health effects of welding fumes in workers are not limited to fibrosis and irritation of the respiratory tract. Inhalation of a complex mixture of particles and gases from the workplace air can cause damage to the central nervous system and higher incidence of nonoccupational diseases attributed to toxic, allergic, and carcinogenic effects of this risk factor. Objective: To study characteristics of somatic comorbidities in welders with occupational diseases of the respiratory system. Materials and methods: The study involved 140 male patients aged 48 to 60 years suffering from occupational respiratory diseases. The main (first) group included gas and electric welders while the reference group consisted of miners and millers with silica-related lung diseases. The mean occupational exposure to industrial aerosols in the groups was 22.8 ± 6.7 and 22.3 ± 6.9 years, respectively. We conducted a questionnaire-based survey and clinical laboratory testing of the workers. The intergroup differences were considered statistically significant at p < 0.05. Results: We established that lesions of the mucous membrane of the esophagus, stomach and duodenum were the most prevalent comorbidities in the electric welders (72.7 %), followed by dyslipidemia (47.3 %), stage I hypertension (36.4 %), liver diseases (31.8 %), kidney damage (31.1 %), stage II and III hypertension (27.8 %). Coronary heart disease and diabetes mellitus were much less frequent and observed in only 4.5 % of the welders. Mucosal lesion of the upper gastrointestinal tract and liver diseases were more prevalent in the welders compared to the reference group. Study limitations: Statistical analysis was carried out using a nonparametric test to compare two independent samples. Conclusions: Exposure to welding fumes inducing occupational respiratory diseases increases the frequency of a combination of such nonoccupational diseases as lesions of the mucous membrane of the upper gastrointestinal tract and liver damage.
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